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CITY OF ORONO * z 0 1 6 - 0 1 1 9 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 145 CYGNET PL <br /> PIN : 04-117-23-22-0012 <br /> LEGAL DESC : SWAN LAKE ADDN <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 3,500.00 <br /> NOTE: (1)DAIKAN COOL[NG SYSTEM <br /> 3-TON <br /> APPLICANT MECHAN[CAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.00 <br /> APPLIANCE CONNECTIONS, INC. MAIL-IN FEE 2.00 <br /> 12850 CHESTNUT BLVD <br /> SHAKOPEE, MN 55379- TOTAL 53.00 <br /> (952)445-4803 Payment(s) <br /> Minnesota State License#: mech-MB004165 CHECK 8786 53.00 <br /> OW�IER <br /> BADER, LOUIS&NYLA <br /> 145 CYGNET PL <br /> LONG LAKE,MN 55356- <br /> AGREEME1vT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related�aork which requires separate <br /> permits. All provisions of laws and ordinances governing Ihis type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the S[ate Building Code.This permit may be <br /> revoked at any time Yor due cause. <br /> l� • � �l� /J�/ <br /> Applicant Permitee Signature Date Issued ignature Date <br />